Therapy Rehydration

The restoration and maintenance of adequate hydration is the most important component of the treatment of acute infectious diarrhea. Rehydration is particularly important in the elderly, pediatric, or immunocompromised patient. In otherwise healthy patients with mild to moderate diarrhea, increasing intake of most fluids is usually adequate to replace fluid losses. In moderate to severe diarrhea, however, fluids with appropriate electrolyte concentrations are needed. Water, juices, and sports drinks will not adequately replace electrolyte losses. For dehydrating diarrhea, aggressive oral rehydration with electrolyte solutions or intravenous (IV) fluids is required. The formulation of "oral rehydration solutions" (ORS), as determined by the World Health Organization (WHO), includes precise concentrations of sodium, potassium, chloride, citrate/bicarbonate, and glucose to replace fluid and electrolyte losses from diarrhea and avoid IV fluid administration (Pizarro et al, 1991). Commercial pediatric formulations are readily available (eg, Pedialyte). A home ORS recipe, based on WHO formulations, is available (Table 49-1). IV replacement of fluids and electrolytes is necessary for severe dehydration and inability to tolerate oral solutions, as well for patients with shock and metabolic acidosis.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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